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Individual

ALLIAH M IQBAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2390 S LOST BRIDGE RD, DECATUR, IL 62521-4653
(217) 620-0687
Mailing address
2390 S LOST BRIDGE RD, DECATUR, IL 62521-4653
(217) 620-0687

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005234
IL

Other

Enumeration date
08/28/2019
Last updated
08/28/2019
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